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11-0966 (BLCK).P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: X11-00000966 — Property Address: 52830 AVENIDA MENDOZA APN: 773-333-027-22 -000000- Application description: WALL/FENCE Property Zoning: COVE RESIDENTIAL Application valuation: 2500 Applicant: T4,ht 4 XP Q�& Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: MICHELLE BELIN 52830 AVENIDA MENDOZA LA QUINTA, CA 92253 Contractor: U HENRY'S MASONRY, INC. v P.O. BOX 5185 Date: 9/06/11 LA QUINTA, CA 92248 LL— Lic. SP 12 2011 (760)250-8253 No.: 704270 yO, FLA QUINTA ---------------------------------------------------------------------------------'---------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am .licensed under provisions of Chapter 9 (commencing with — Section 7000) of Division 3 of the Business ad Professionals Code, and my License is in full force and effect. License Class: C29 License No.: 704270 e: U i onuactor: WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 fcommencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 _) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury one of the following declarations: - I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code,'for the performance of the work for which this permit is issued. Y_ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier HARTFORD INS Policy Number 41WEGPZ5043 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should coryE subject to the workers' compensation provisions of Section � n/ 3700 of the Labor Cod/e, sh (forthwith comply with those provisions. 4a[e: /P I A icant: ✓ WARNING: FAILU EE TO WORKER�OST ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENCIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2., Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the abo information is correct. I agree to comply with all city and county ordinances and st to laws relating to buildin o ction, and hereby authorize representatives of this county to enter upon t above-mentioned property r ' pection purposes. at .� �gnature (Applicant or Agent): Application Number 11-00000966 Permit WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 54.00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 2500 Expiration Date 3/04/12 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG 2,001-25,000 9.00 ------------------------------------------------------------ Special Notes and Comments ---------------- 100 L.F. 6' GARDEN WALL AT REAR PROPERTY -LINE, CITY STANDARD. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.001. Fee summary_ Charged Paid Credited Due ------------------------------------- Permit Fee Total 54.00 -------------------- .00 .00 54.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 55.00 .00 .00 55.00 LQPERMIT r �t)®or 1 �G6Ju'' tj od I 51IM/ �---�, prlG• CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION pq Q rL Cl BY F au+�1'c` i �ne1i eI�` foF be oYI� I���1V rr� Md C/1 Ts01�/ 2JVS-dS3 GLINT "ACT f'ff541 5lf AUl�1C'��5. 58630 e Melu�o t r Pt ONff s -ts as sa � �3ve ✓� � � �j �� Bin # City of La nuinta �C Building 8r Safety Division ' P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA. 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ��p Project Address: ®�I �UJ�L`O7 � � � k / eh Owner's Name: �./'1r, Jr 111-4 f - A. P. Number: -Sab J�gq� AUC V( il4,, Address: /TtJe Ale Legal Description: City, ST; Zip: (J.'k)iS CA -L Contractor: !Y P711 Tele Phon e. Address: golk P 6req t, -N -, Project Description: City, ST, Zip: S / T ele P hone:— a S .! �,I w C State Lic. # : City Lic. #; Arch., Engr., Designer: Address: City., ST; Zip: Telephone: hone: ................................: Con strut tion T Y P e: Occu Pant Y: State # S Lic. Project ct type (circle e one Neww Add'n Alter Repair e D mo Name of Contact Person: Sq. Ft.; #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT.WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Tryss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan r' Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted. Grading IN HOUSE:- '"' Review, ready for correctionsrissue Developer Impact Fee Planning Approval Called Contact Person A.I.P:P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees ,. .